History
  1. Hand radiograph
  2. Acetabular roof sloping and irregular
  3. Pelvis Radiograph
  4. Platyspondyly with anteroinferior beaking
  5. Abnormal spine radiograph
  6. Normal Bone Density
  7. Skeletal survey in a child
Proximal pointing of metacarpals

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Dysostosis multiplex, consider mucopolysaccharidosis (MPS) I, check for 'oar shaped' ribs